Inspection on 16/02/09 for Bowes Court

This inspection was carried out on 16th February 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bowes Court Stones End Evenwood Bishop Auckland County Durham DL14 9RE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tom Moody     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Bowes Court Stones End Evenwood Bishop Auckland County Durham DL14 9RE 01388834618 01388835664 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Durham Careline Ltd care home 20 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Additional conditions: 20 20 The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Learning Disability, Code LD, maximum number of places 20 Physical Disability, maximum number of places 20 Date of last inspection Brief description of the care home The home has just been recently registered and complies with all the necessary agencies such as fire and environmental health. It is well designed and has pleasantly landscaped surroundings. It shares a site with its sister home, Lyons Court. There is ample parking space and views of the surrounding countryside. The home has three floors and all are accessible by lift. The home has very generous communal and circulatory space and it has been designed to enhance the experience of the service users and to make operation easier Care Homes for Adults (18-65 years) Page 4 of 25 Brief description of the care home for the staff. There is a generous amount of storage space in the home. This design and build is an example of good practice. There is a good standard of equipment such as mobile and fixed hoists, and specialist beds. The home has a hydotherapy pool. A suitable call system has been installed. The scale of charges is determined by individual contracts, between £800 to £1650 Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 16 February 2009, over a period of approximately 6 hours. The inspection included: discussion with staff, a tour of the premises, examination of relevant documents, reading survey forms from staff, service users and visiting professionals such as doctors and social workers. The inspector met with the people who lived in the home and talked to their relatives and other visitors. The Manager, and a senior manager of the company that runs the home, were present throughout most of the inspection and both showed a good understanding of the care needs of the people who live at Bowes Court. Overall, the service provides a safe and comfortable home, staffed by people that the residents who live there have confidence in. Care Homes for Adults (18-65 years) Page 6 of 25 Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users needs are accurately assessed and the home can meet those needs Service users are able to make trial visits and they have information they need to make choices. Evidence: There is a good assessment of all of the service users needs in their care plans. This contains information from many different care specialists. Service users and their relatives are able to help with this and care plans have examples of information from both. Records show that service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Staff said they know about the service users and how to care for them. Visitors confirmed this and felt the staff were well informed. The home has a service users guide which includes an information brochure and the appropriate policies and procedures, such as complaints. The manager said that an easy read version is being produced to make this accessible for service users. Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: Service users have contracts from placing agencies that contain their terms and conditions. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users have an accurate plan of care that they and their relatives can contribute to. They are encouraged to participate in the running of the home, to make decisions for themselves and to take risks, within a carefully assessed framework. Evidence: The care plans contain a good assessment of service users physical, mental, spiritual and social needs. This included nutritional needs, falls assessment and other risk assessments. Individual risk assessments are in place to safeguard clients in all areas of care. These are agreed and signed by client where ability allows. These are regularly reviewed. Service users have a key worker or designated nurse. The home also is well equipped and able to meet the assessed needs of service users. Staff respect service users privacy and dignity and they said this was part of their induction and ongoing training. Staff were seen and heard addressing service users in a respectful and sympathetic manner. Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: Staff were seen, and heard, offering service users choices and allowing them to make decisions about their day to day activities. Service users were wearing their own clothes and they were appropriately dressed. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are able to make community links and pursue leisure and educational opportunities in the home and in the community. Daily routines allow for individual choice and lifestyle. Service users are able to choose a nutritious and varied diet service in pleasant surroundings. Evidence: The manager said that service users are encouraged to attend college, day services and other educational opportunities. The staff take service users to these places and told me that service users were attending computer skills courses. Service users use the local facilities, one person said they went to, computer classes and did art therapy, someone else said, I go out to The Club or The Swan. Service users can have individual holidays and told me about going to The Calvert Trust, at Kielder. Records confirmed this. Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: There were a number of visitors on the day of the inspection. All of them said they were pleased with the home and the care their relative received. All service user rooms have a lockable draw for personal items. Menus are made available to the service user and any special diets are ordered for individual service users. Healthy eating is encouraged and service users are assisted to make healthy choices. Care plans confirm the involvement of speech and language therapist, and dieticians in assisting service users. Service users are supported well by staff during mealtimes. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff provide good support to enable service users to live fulfilling lives. All of their health and well-being needs are met by the home. Evidence: Care plans provide clear guidance to staff on the service users preferences on how their personal care needs are to be met. Staff are aware of this and those I spoke to had a good awareness of individuals needs and references. Records show that the home has has access to a range of specialists such as Physiotherapists, Psychiatrists, Psychologists and Speech and Language Therapists. These specialists provide support in all aspects of the service users lives and also provide support and advice to staff. Clear medication records are kept. This includes controlled drug recording. Staff were seen giving out medicines and this was done correctly and safely. Medicines are safely stored and the home has the correct methods of disposal of unwanted medication. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users feel their views are listened to and they are confident they would be protected against abuse. The home provides training and policies that should ensure this. Evidence: All of the service user surveys said that they knew how to make a complaint and felt there concerns were taken seriously. Service users who were spoken to also said this and said they had confidence that the manager and staff would take concerns seriously. There is a complaints procedure in place and service users and their relatives have been given a copy of this. The homes policy and procedure documents relating to abuse which are available to staff to guide them if they have any concerns in this area. Records show that all staff working in the home are trained in safeguarding adults. Staff that spoke to me also said they are trained in safeguarding adults and they are aware of the local authority safeguarding adults procedures. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable environment. It has generous space and is well equipped to meet service users needs and promote their independence. Evidence: The home is well designed and has pleasantly landscaped surroundings. There is ample parking space and views of the surrounding countryside. It has just been recently registered and complies with all the necessary agencies such as fire and environmental health. The home has three floors and all are accessible by lift. There is restricted access due to security needs and entrances have been fitted with keypad locks. unfortunately there is no means of attracting staff attention on the first floor. The very generous communal and circulatory space speaks well of the priorities that this company have. The home has been designed for the benefit of the service users and to make caring for them easier for the staff. This design and build is an example of good practice. The home is well ventilated and warm. The home was relatively quiet but the large number of hard surfaces makes sound echo and may give problems to people with hearing defects. Similarly there was no loop induction system available for hearing aid users. The bedrooms are big, well above the minimum size, and they are well decorated and furnished. There is lockable storage space in every bedroom. Care Homes for Adults (18-65 years) Page 18 of 25 Evidence: Almost every room has interesting views of the surrounding area. The home has specialist equipment available including specialist profile beds, air flow mattresses, shower and toileting aids and adaptations. It also has a hydrotherapy pool and a complimentary therapy area. The home focuses on rehabilitation and independence and it has a service user kitchen, laundry and exercise facilities. Service users can also access their own laundry facilities, with the support from staff. Service users I spoke to all liked the home and their bedrooms. One relative said, It is like a four star hotel. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: There were a suitable amount of staff on duty at the time of the site visit. Service users needs were met, call buzzers were answered within a reasonable time and care was given in an unhurried manner. All staff have been placed on NVQ2 and 3 training and the home employs registered nurses and a physiotherapist on their team. Mandatory training has been given to staff as well as service specific training in behavior and communication. The service provides its own training room. The recruitment programme has good records on file. These show that interviews take place. All staff have enhanced CRB and POVA check and 2 references before start of employment. Staff and manager confirm they have regular supervision. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced person who has service users interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good practice Evidence: The registered manager is experienced. She holds the Registered Managers award NVQ level 4, and she is Registered Nurse Learning Disability. The manager feels she is supported by senior management and the operations director was present for part of the site visit. The manager says she has an open door policy and, staff and relatives confirmed this when I spoke to them. Relevant certificates and licences are displayed in the home. The home use quality assurance questionnaires and the comments from relatives and service users are all very positive. Records of maintenance were available as was the fire log. Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: The staff I spoke to have a good awareness of heath and safety and service user records contain good risk assessments, including falls. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 1 29 An easy read, pictorial version of the service users guide should be available. Decor should be reviewed to make it more sound absorbing and an induction loop system should be considered for service users with hearing aids. Entrance doors should have bells or some other means of attracting attention to allow visitors to enter the home. 3 29 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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